DME Coding Specialist

Job Description

Seeking a detail-oriented and accurate Certified Medical Coder with experience in Durable Medical Equipment (DME) coding, ideally within the Workers’ Compensation sector. The role involves applying knowledge of state-specific workers’ comp guidelines and payer rules to ensure compliant billing and proper reimbursement through accurate HCPCS coding.

Duties and Responsibilities:

• Accurately assign and sequence medical codes in compliance with government and insurance regulations.
• Apply state-specific Workers’ Compensation rules, including fee schedules and documentation requirements.
• Review and verify orders, contracts, and provider data for accuracy.
• Communicate with staff to clarify incomplete or unclear information.
• Identify and correct coding issues to support clean claim submissions.
• Handle denials and documentation requests with timely and compliant resubmissions.
• Ensure all coding practices meet HIPAA, OIG, and industry compliance standards.
• Perform additional duties as assigned by management.

Qualifications:

• Experience: 2–5 years in healthcare coding.
• **Education: High school diploma or GED required; Associate’s degree or equivalent training preferred.
• Certification: CPC, CCS-P, or CCS preferred.
• Technical Skills: Proficient in Microsoft Office (Word, Excel) and experienced with EHR/EMR and billing software (e.g., Kareo, Brightree, or similar).
• Knowledge: Strong understanding of HCPCS Level II codes and medical billing procedures.

Benefits:

• Paid time off in the first year
• Paid day off during your birthday month
• Immediate eligibility for paid holidays
• Health and welfare benefits (eligible first of the month after 60 days)
• Company-provided life insurance
• Employee Assistance Program (available Day 1)
• Supportive and positive work environment

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance